**2.4. Service delivery**

Immunization services provided through outreach are costly and face logistic issues. The outreach strategy of EPI lacks details in micro-plans; has weak monitoring and supervision; and deficient human, operational, and other resources [13]. In many rural areas, routine immunization literally comes to naught during National Immunization Days, when all vaccinators are entrusted with the additional responsibility of covering 150–200 children per day, door-marking, record keeping in tally-sheets, and locating and marking missing children [24]. Coverage of vaccination services requires a rational re-deployment of vaccinators, and taskshifting to community-based service providers e.g. lady health workers (LHWs) and community midwives for covering their catchment areas. Vaccinators would thus be able to focus on areas not covered by any workers [25]. Involvement of the private sector and NGO outlets is also one of the solutions, but at present there is no policy in EPI on formal engagement with the private sector [13].
